Individual provider Active NPI

Hannah Elizabeth Roddenberry, APRN, FNP-C

  • Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1437828969
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
237016 Issued in LA
Practice address
3421 N Causeway Blvd Ste 102
Metairie, LA 70002-3711
Phone
(504) 455-9933
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0032069 OH
Family Nurse Practitioner 363LF0000X APRN11015056 FL
Nurse Practitioner 363L00000X 237016 LA Primary

Addresses

Primary practice location

3421 N Causeway Blvd Ste 102
Metairie, LA 70002-3711

Mailing address

3421 N Causeway Blvd Ste 102
Metairie, LA 70002-3711
Phone (504) 455-9933

Other practice location 1

32615 US Highway 19 N Ste 1
Palm Harbor, FL 34684-3176
Phone (727) 605-2763

Other practice location 2

725 Virginia St
Dunedin, FL 34698-6615
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303002653 LA Practitioner - Nurse Practitioner 2365849833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bopp Dermatology and Facial Plastic SurgeryGroup PAC ID 4880721604, 4 clinicians

Practice addresses (Care Compare)

3421 N Causeway Blvd
Suite 102
Metairie, LA 70002-3711
Phone (504) 455-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11015056FLMDFamily Nurse Practitioner
0032069OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bopp Dermatology and Facial Plastic Surgery CurrentSince Dec 14, 2024 Accepting new patients
Douglas K Pierce MD PA Past Accepting new patients
Bopp Dermatology and Facial Plastic Surgery PastSince Dec 14, 2024 Accepting new patients

Locations

3421 N Causeway Blvd
Ste 102
Metairie, LA 70002
Phone (504) 455-9933

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1437828969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023711",
            "telephone_number": "504-455-9933",
            "fax_number": "504-888-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023711",
            "telephone_number": "504-455-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32615 US Highway 19 N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843176",
            "country_code": "US",
            "telephone_number": "727-605-2763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346986615",
            "country_code": "US",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODDENBERRY",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032069",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015056",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "237016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.